Individual
MR. BILLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
85 RAMONA EXPY STE 1, PERRIS, CA 92571-7014
(519) 349-4195
Mailing address
85 RAMONA EXPY STE 1, PERRIS, CA 92571-7014
(519) 349-4195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95002200
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95002200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002200
—
CA
Enumeration date
03/27/2015
Last updated
09/22/2023
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